8- Healing of Oral Surgical Wounds Using 3/0 Silk Suture

Objective:

Comparing two different materials for wound closure: 3-0 silk suture and tissue adhesive N-butyl-2-cyanoacrylate in intra-oral surgical incisions closure. Patients and Methods: Twenty patients attended the Oral and Maxillofacial Surgery Clinics, College of Dentistry, King Saud University were randomly divided into two equal groups according to the material used for wound closure. Group I (suture group): comprised 10 patients where incisions were closed using 3/0 black silk suture. Group II (cyanoacrylate group): comprised 10 patients where incisions were closed using synthetic cyanoacrylic surgical glue (Glubran 2). Results: The use of Glubran 2 showed a better intimate healing with no gaps compared to using silk suture. Discomfort and irritation scores for silk suture and the Glubran 2 sites were statistically significant (P<0.05). Conclusion: The use of (Glubran 2) in closure of intra-oral surgical incisions is an easy and effective way in managing intraoral wounds. It greatly reduces the patient psychological stress and anxiety during suturing, plus eliminating the possibility of self injury but the material relative high cost should be taken in consideration.

key WordS:

Silk suture, tissue adhesive, cyanoacrylate, wound closur